Characteristics of patients in routine psycho-oncological care,and changes in outcome variables during and after their treatment

Objective: The primary aim of this study was to determine the characteristics of clients and interventions in routine psycho-oncological care. The secondary aim was to determine the course of symptomatology during and after the psychological interventions.

Design: During a period of nine months, all clients who sought help in one of the seven psycho-oncological care institutes in the Netherlands were approached to participate in the present study (N = 483). Information was gathered with respect to demographic and medical characteristics, and type and duration of the interventions. In addition, depression, anxiety, well-being, quality of life, fatigue and daily function were determined before interventions and three and nine months later.

Results and conclusions: Compared to the Dutch cancer population, patients in psycho-oncological care were more often young and female. Compared to the general Dutch population, they were highly educated and were more likely to have a partner. Clinical levels of depression, anxiety and/or fatigue were found among 83% of the patients. After three months, only 23% had completed their intervention; this figure was 62% after nine months. Symptoms decreased significantly for all outcome variables. An importance difference with randomised controlled trials is the low session frequency and the long intervention time of patients in clinical care.     

Stereotypical beliefs and psychological well-being of African American adolescent girls: Collective self-esteem as a moderator

African American women are often times characterized by stereotypes that can be traced back to slavery. Those stereotypes have been found to affect many outcomes in an array of domains related to work, intimate relationships, and personal well-being. The literature does not address how these stereotypes may affect adolescent African American girls. This study aimed to fill that gap by examining how the endorsement of stereotypes affects the psychological well-being, specifically stress, in 144 African American adolescent girls (N = 144) who ranged from 12–19 years old. This study goes a step further to investigate whether collective self-esteem can serve as a buffer between endorsement of stereotypes and perceived stress. Using combined mediation–moderation model, the analysis showed that there is a significant positive relationship between stereotypic beliefs and perceived stress that is buffered by moderate to high levels of collective self-esteem. Implications for treatment and policy, as well as educational recommendations are discussed.     

Next Generation Sequencing in the Clinic: a Patterns of Care Study in a Retrospective Cohort of Subjects Referred to a Genetic Medicine Clinic for Suspected Lynch Syndrome

Next generation sequencing (NGS) gene panels are increasingly used in medical genetics clinics for the evaluation of common inherited cancer syndromes, but the clinical efficacy of these tests, and the factors driving clinical providers to order them are unclear. We conducted a patterns-of-care study to compare patients evaluated with NGS gene panels with a reference group. We abstracted demographic, socioeconomic, and clinical information in a retrospective cohort of patients referred to a large medical genetics clinic for evaluation of inherited colorectal cancer and polyposis syndromes. Patients tested with NGS gene panels were more likely to be insured compared to the reference group (85.3 % vs. 69.2 %, p = 0.0068),less likely to have prior tumor tissue testing (29.4 % vs. 54.3 %, p = 0.0004), and less likely to have an abnormal tumor tissue test result (46.7 % vs. 74.5 %, p = 0.01). No significant differences were found between groups in age, gender, race, employment status, personal history of colorectal cancer, or proportion of patients fulfilling Lynch syndrome clinical criteria. Patients with NGS testing were less likely to have a pathogenic/likely pathogenic variant detected (13.7 % vs. 31.9 %, p = 0.002). Patients referred for NGS testing to evaluate inherited colorectal cancer/polyposis risk appear to undergo tumor tissue testing less frequently than non-NGS testing patients. Further studies are needed to assess the most effective and cost-effective approach to genomic diagnosis in this patient population.     

Feeling Exhausted? Let’s Play – How Play in Work Relates to Experienced Burnout and Innovation Behaviors

Play in work, as one specific type of work designs, is regarded as the possible solution to experienced burnout and could bring the desirable outcomes to organizations. Drawing on Affective Events Theory (AET), we argued that workplace events (such as play) cause emotional reactions on the part of employees (i.e., burnout), which in turn influence workplace attitudes and behaviors (i.e., innovation behaviors). A total of 439 employees completed surveys, and the results showed that play in work positively relates to innovation behaviors. We also examined individual’s attitude toward workplace fun to further understand the impact of individual differences on the relationship between play in work and their feelings and subsequent behaviors. We found that the positive attitude toward fun moderated the indirect relationship between play in work and innovation behaviors via experienced burnout. Based on AET, our results showed that play in work could reduce employees’ experienced burnout which in turn lead to their innovation behaviors. Such an effect of play in work are stronger when an individual has more positive attitude toward fun at work. Practically, it is suggested that play in work would contribute to favorable outcomes in the workplace, but managers should pay attention to individual differences in attitude toward workplace fun to ensure the maximum benefit of play.

     

Monitoring of learning for emotional faces: how do fine-grained categories of emotion influence participants’ judgments of learning and beliefs about memory?

Researchers have evaluated how broad categories of emotion (i.e. positive and negative) influence judgments of learning (JOLs) relative to neutral items. Specifically, JOLs are typically higher for emotional relative to neutral items. The novel goal of the present research was to evaluate JOLs for fine-grained categories of emotion. Participants studied faces with afraid, angry, sad, or neutral expressions (Experiment 1) and with afraid, angry, or sad expressions (Experiment 2). Participants identified the expressed emotion, made a JOL for each, and completed a recognition test. JOLs were higher for the emotional relative to neutral expressions. However, JOLs were insensitive to the categories of negative emotion. Using a survey design in Experiment 3, participants demonstrated idiosyncratic beliefs about emotion. Some people believed the fine-grained emotions were equally memorable, whereas others believed a specific emotion (e.g. anger) was most memorable. Thus, beliefs about emotion are nuanced, which has important implications for JOL theory.     

The effects of video modeling with voiceover instruction on accurate implementation of discrete-trial instruction

The present study replicates and extends previous research on the use of video modeling (VM) with voiceover instruction to train staff to implement discrete-trial instruction (DTI). After staff trainees reached the mastery criterion when teaching an adult confederate with VM, they taught a child with a developmental disability using DTI. The results showed that the staff trainees' accurate implementation of DTI remained high, and both child participants acquired new skills. These findings provide additional support that VM may be an effective method to train staff members to conduct DTI.     

A FURTHER EVALUATION OF PICTURE PROMPTS DURING AUDITORY‐VISUAL CONDITIONAL DISCRIMINATION TRAINING

This study was a systematic replication and extension of Fisher, Kodak, and Moore (2007 ), in which a picture prompt embedded into a least‐to‐most prompting sequence facilitated acquisition of auditory‐visual conditional discriminations. Participants were 4 children who had been diagnosed with autism; 2 had limited prior receptive skills, and 2 had more advanced receptive skills. We used a balanced design to compare the effects of picture prompts, pointing prompts, and either trial‐and‐error learning or a no‐reinforcement condition. In addition, we assessed the emergence of vocal tacts for the 2 participants who had prior tact repertoires. Picture prompts enhanced acquisition for all participants, but there were no differential effects on tact emergence. The results support a generality of the effect reported by Fisher et al. and suggest that a variety of learners may benefit from the incorporation of picture prompts into auditory‐visual conditional discrimination training.     

A comparison of intraverbal training procedures for children with autism

We compared the effectiveness of three training procedures, echoic and tact prompting plus error correction and a cues-pause-point (CPP) procedure, for increasing intraverbals in 2 children with autism. We also measured echoic behavior that may have interfered with appropriate question answering. Results indicated that echoic prompting with error correction was most effective and the CPP procedure was least effective for increasing intraverbals and decreasing echoic behavior.     

Generating and evaluating options for decision making: the impact of sequentially presented evidence

We examined how decision makers generate and evaluate hypotheses when data are presented sequentially. In the first 2 experiments, participants learned the relationship between data and possible causes of the data in a virtual environment. Data were then presented iteratively, and participants either generated hypotheses they thought caused the data or rated the probability of possible causes of the data. In a 3rd experiment, participants generated hypotheses and made probability judgments on the basis of previously stored general knowledge. Findings suggest that both the hypotheses one generates and the judged probability of those hypotheses are heavily influenced by the most recent evidence observed and by the diagnosticity of the evidence. Specifically, participants generated a narrow set of possible explanations when the presented evidence was diagnostic compared with when it was nondiagnostic, suggesting that nondiagnostic evidence entices participants to cast a wider net when generating hypotheses.     

Examination of Peer Rejection and Depressive Symptoms as Mediators of the Link between Rule-Breaking Behavior and Poor Academic Performance

The current study further evaluated the association between rule-breaking behavior and academic performance by examining peer rejection and depressive symptoms as potential mediators of this association. Study hypotheses were examined using a sample of 147 school-age children (54.4% male) ranging from five to 13 years of age (M = 8.22, SD = 1.99). A meditational path model was estimated, and findings suggested that peer rejection mediated the association between rule-breaking behavior and academic performance two months later when also considering the stability of academic performance. That is, high levels of rule-breaking behavior were associated with high levels of peer rejection, which in turn was associated with poor academic performance. Depressive symptoms were not indicated as a mediator of this association. Findings and their implications are discussed.